Propuesta de un modelo de seguimiento farmacoterapéutico domiciliario a pacientes con diabetes e hipertensión en la parroquia Angochagua, Imbabura

Abstract

The objective of this study was to propose the model of Home Pharmacotherapeutic Monitoring (HPM) in diabetic and hypertensive patients in the different rural communities that form the parish of Angochagua, in Imbabura, in which the professional Biochemist Pharmacist is responsible for addressing drug-related health problems (DRPs) in order to prevent and control them. Thus, the research had a mixed-descriptive approach, with a cross-sectional design where three phases were applied so that, in phase I, 40 patients were identified, of which 8 were diagnosed with type 2 diabetes mellitus, 28 patients with arterial hypertension and 4 with comorbidities, Then, in phase II, the symbology of patients with type 2 diabetes mellitus and arterial hypertension was added to the community map of each community for the location of the patients, and in phase III, The Pharmacotherapeutic Follow-up model was applied to the patients identified, according to the Dader Method, which consists of seven stages: the first stage involved offering the SFT service, followed by the first interview to collect information on health problems and medications; in stage III, the initial situation was analyzed, In the study and evaluation phase, drug-related problems were identified, which caused 56% of RNMs of necessity, 31% of effectiveness and 13% of safety, and 74% were resolved through pharmaceutical interventions. At the end, 72.5% adhered to treatment and 27.5% did not adhere to treatment due to problems of hearing impairment, lack of medication in the public sector and lack of accompaniment by family caregivers.